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{"sheet":"Sheet1","index":0,"n_rows":221,"n_cols":10,"rows_kept":221,"cut":false,"hidden":false,"merged":[[4,0,4,9],[66,0,66,9],[188,0,188,9],[203,0,203,9]],"flags":["formulas_cached_only"]}
[" ",null,null,null,"Reports","Total Annual","Est. No. of","Est. Total","Wages","Cost to the"]
[" ",null,"Form No.","Est. No. of","Filed","Responses"," Man hours","Man-hours","Class","Public"]
["Section of Regulation","Title","(if Any)","Respond-ents","Annually","(D) x (E)","Per Response","(F) x (G)","$/Hr.","(H) x (I)"]
["(A)","(B)","(C)","(D)","(E)","(F)","(G)","(H)","(I)","(J)"]
["REPORTING REQUIREMENTS - FORMS APPROVED WITH THIS DOCKET"]
[]
["1780.33(h)(1); 1942.5(b)(1)(ii)(C); 1951.222(c)(3); 3570.71(h)","Operating Budget","442-7"]
[null,"RHS",null,620,1,620,5,3100,69.5,215450]
["1780.41(a)(3); 1942.5(b)(1)(ii)(E); 1951.230(a)(9);1955.10(f)(3)(i); & 3570.82","Balance Sheet or Financial Statement","442-3"]
[null,"RHS",null,380,1,380,1,380,56,21280]
["1780.29(b)(1); 1942.17(l)(i)","Agreement for Engineering Services","1942-19"]
[null,"RHS",null,160,1,160,4,640,56,35840]
["1780.39(f); Guide 16 of 1942-A; 3570.61(e)","Resolution of Members or Stockholders","1942-8"]
[null,"RHS",null,57,1,57,1,57,56,3192]
["1780.41(a)(6); 1942.5(a)(1)(ii); 1952.230(f)(2); 4274.350; 1942.315(b); 4284.638(c); 3570.71","Letter of Intent to Meet Conditions","1942-46"]
[null,"RHS",null,375,1,375,1,375,69.5,26062.5]
[null,"RBS (Small Socially Disadvantaged Producer Grant Program)",null,15,1,15,1,15,69.5,1042.5]
["1942.17(j)(4)(i)(A); 3570.76","Right-of-Way Easement","442-20"]
[null,"RHS",null,190,1,190,1,190,56,10640]
["1942.17(j)(4)(i); 3570.76","Right-of-Way Certificate","442-21"]
[null,"RHS",null,190,1,190,1,190,56,10640]
["1780.44(g)(1)(i), 1942.17(j)(4)(i); 3570.76","Opinion of Counsel Relative to Rights-of-Way","442-22"]
[null,"RHS",null,160,1,160,1,160,56,8960]
["1942.17(n)(2)","Loan Resolution (Public Bodies)","1942-47"]
[null,"RHS",null,120,1,120,1,120,56,6720]
["1942.17(n)(2)","Loan Resolution Security Agreement","1942-9"]
[null,"RHS",null,240,1,240,1,240,56,13440]
["1780.45(b)(1)(ii); 1942.17(p)(2)(ii); 1944.235(c)","Estimate of Funds Needed for 30-Day Period Commencing ____\"","440-11"]
[null,"RHS",null,510,3,1530,1,1530,83,126990]
[null,"Promissory Note","440-22"]
[null,"RHS",null,405,2,810,0.25,202.5,56,11340]
["1780.37(f); 1942.17(q)(2)(i)(A);1951.223(b)(1), 1951.230(a)(9); 3570.82","Statement of Budget, Income, and Equity","442-2",null,null,0]
[null,"RHS",null,514,1,514,2.5,1285,56,71960]
["1942.8(d)","Bond Registration Book","442-28",null,null,0]
[null,"RHS",null,110,1,110,1,110,56,6160]
["1942.17(j)(3)(ii)(B)","Position Fidelity Schedule Bond Declarations","440-24"]
[null,"RHS",null,660,1,660,0.5,330,69.5,22935]
["1942.30(e )(1) ","Re-lender's Agreement","1942-55"]
[null,"RHS",null,10,1,10,1.5,15,83,1245]
["1942.30(e )(2)","Promissory Note","1942-56"]
[null,"RHS",null,10,1,10,1,10,83,830]
["1942.30(e )(4)","Adequate collateral (Loan Resolution Security Agreement","1942-57"]
[null,"RHS",null,10,1,10,0.5,5,83,415]
["1942.17(n)(2)(x)","Equal Opportunity Agreement","400-1"]
[null,"RHS",null,1205,1,1205,0.17,204.85000000000002,69.5,14237.075]
["1942.17(n)(2)(x)","Assurance Agreement"," 400-4"]
[null,"RHS",null,1205,1,1205,0.25,301.25,69.5,20936.875]
[null,"Certification Regarding Debarment, Suspension & Other Responsibility Matters-Primary Covered Transactions","AD 1047"]
[null,"RHS",null,20,1,20,0.25,5,83,415]
["1942.17(j)(4)(i)(B)","Preliminary Title Opinion","1927-9"]
[null,"RHS",null,1185,2,2370,1.5,3555,56,199080]
["1942.17(j)(4)(i)(B)","Final Title Opinion","1927-10"]
[null,"RHS",null,1185,2,2370,0.33,782.1,56,43797.6]
["1942.17(p)(5) & Guide 18","Partial Payment Estimate","1924-18"]
[null,"RHS",null,2060,2,4120,0.5,2060,56,115360]
["1942.18(o)(7)(ii) & Guide 18","Contract Change Order","1924-7"]
[null,"RHS",null,1605,1,1605,0.25,401.25,56,22470]
[null,"Deposit Agreement","402-1"]
[null,"RHS",null,10,1,10,0.25,2.5,69.5,173.75]
[null,"Representations Regarding Felony Convictions and Tax Deliquency Status for Corporate Applicants","AD 3030"]
[null,"RHS",null,20,1,20,0.25,5,83,415]
[null,"Assurances Regarding Felony Convictions and Tax Delinquency Status for Corporate Appliants","AD 3031"]
[null,"RHS",null,20,1,20,0.05,1,83,83]
["Subtotal",{"$nulls":4},19106,null,16272.45,null,1012110.2999999999]
[]
[]
["REPORTING REQUIREMENTS - NO FORMS "]
["1942.17(c)(2)(vii)","Application to Obtain Additional Funding","Written"]
[null,"RHS",null,24,1,24,4,96,56,5376]
["1942.17(b)(3); 3570.61(c)","Statement on ability to obtain credit elsewhere","Written"]
[null,"RHS",null,600,1,600,1,600,56,33600]
["1942.17(e)","Notification of declination of service","Written"]
[null,"RHS",null,0,1,0,3,0,56,0]
["1942.17(g)(2)(iii)(A); 3570.80","Liens on real and chattel property","Written"]
[null,"RHS",null,15,1,15,1,15,56,840]
["1942.17(g)(3)(i)(B)","Financing Statement","Written"]
[null,"RHS",null,210,1,210,1,210,56,11760]
["1942.17(j)(9); 3570.71","Public Information","Written"]
[null,"RHS",null,600,1,600,2,1200,56,67200]
["1942.5(b)(1)(ii)(D) and Guides 6-10; 3570.65","Preliminary Architectural or Engineering Report","Written"]
[null,"RHS",null,270,1,270,4,1080,56,60480]
["1942.17(l)(1); 3570.71","Agreement for professional services","Written"]
[null,"RHS",null,320,1,320,4,1280,56,71680]
["1942.17(h)(2)(iii)","Positive programs to encourage connections","Written"]
[null,"RHS",null,0,1,0,3,0,56,0]
["1942.17(n)(3)","Interim financing","Written"]
[null,"RHS",null,425,1,425,4,1700,56,95200]
["1942.17(j)(3)(iii)(A)","Property insurance","Written"]
[null,"RHS",null,370,1,370,1,370,56,20720]
["1942.17(j)(3)(iii)(B)","Liability and Property Damage Insurance","Written "]
[null,"RHS",null,350,1,350,1,350,56,19600]
["1942.17(j)(3)(iii)(D)","Flood Insurance","Written"]
[null,"RHS",null,36,1,36,1,36,56,2016]
["1942.17(j)(3)(iii)(E)","Workman's compensation insurance","Written"]
[null,"RHS",null,270,1,270,0.5,135,69.5,9382.5]
["1942.17(n)(6); 3570.80","Evidence of Disbursement of other funds","Written"]
[null,"RHS",null,170,1,170,1,170,56,9520]
["1942.17(j)(4)(ii)","Acquistion of Land, Easement, Water Rights & Existing Facilities","Written"]
[null,"RHS",null,260,1,260,3,780,56,43680]
["1942.3; 3570.65","Appraisal Report","Written"]
[null,"RHS",null,415,1,415,2,830,56,46480]
["1942.5(b)(1)(ii)(I); 3570.70","Lease/Management agreement","Written"]
[null,"RHS",null,60,1,60,5,300,56,16800]
["1942.17(g)(2)","Notes, bonds, warrants or other contractural obligations","Written"]
[null,"RHS",null,260,1,260,5,1300,56,72800]
["1942.18(e) & Guides 17 thru 19; 3570.76","Construction contract forms","Written"]
[null,"RHS",null,260,1,260,1,260,56,14560]
["1942.8(g); 3570.80","Certification by borrower's attorney","Written"]
[null,"RHS",null,260,1,260,15,3900,56,218400]
["1942.18(m); 3570.76","Contracts awarded prior to application","Written"]
[null,"RHS",null,15,1,15,2,30,56,1680]
["1942.18(o)(3); 3570.76","Resident Inspector resume","Written"]
[null,"RHS",null,190,1,190,0.5,95,56,5320]
["1942.18(o)(4); 3570.76","Daily inspection report","Written"]
[null,"RHS",null,1020,12,12240,0.5,6120,56,342720]
["1942.5(b)(1)(ii)(G)","Evidence that facility cannot be provided by a public body","Written"]
[null,"RHS",null,140,1,140,1,140,56,7840]
["1942.5(b)(1)(ii)(H); 3570.65","Financial feasibility report","Written"]
[null,"RHS",null,400,1,400,4,1600,56,89600]
["1942.17(b)(4); 3570.65","Organizational documents","Written"]
[null,"RHS",null,600,1,600,1,600,56,33600]
["1942.5(a)(1)(ii), 1942.17(f)(1)","Borrower request to choose interest rate","Written"]
[null,"RHS",null,600,1,600,0.167,100.2,56,5611.2]
["1942.5(b)(1)(ii)(F)","Five Year Financial History","Written"]
[null,"RHS",null,425,1,425,1,425,56,23800]
["1942.17(g)(2)(iii)(A)(9)(ii)","Exceptional Community Support and Documentation","Written"]
[null,"RHS",null,375,1,375,4,1500,56,84000]
["1942.17(g)(3)(i)(D)","Other Security","Written"]
[null,"RHS",null,140,1,140,1,140,56,7840]
["1942.17(j)(3)(iii)(C)","Malpractice Insurance","Written"]
[null,"RHS",null,130,1,130,0.5,65,56,3640]
["1942.17(j)(4)(iii)","Land Purchase Contract","Written"]
[null,"RHS",null,50,1,50,2,100,56,5600]
["1942.17(j)(8)","Certificate of Need","Written"]
[null,"RHS",null,35,1,35,1,35,56,1960]
["1942.17(k); 3570.70","Certification of appropriate regulatory agencies","Written"]
[null,"RHS",null,125,1,125,4,500,56,28000]
["1942.17(r)(1)(ii)(B) & Guide 22","Positive Action Plan","Written"]
[null,"RHS",null,35,1,35,2,70,56,3920]
["1942.17(q)(4); 3570.83","Audits","Written"]
[null,"RHS",null,450,1,450,3,1350,56,75600]
["1942.17(q)(4)(ii)","Financial Statements - borrowers under $100,000 gross income","Written"]
[null,"RHS",null,450,1,450,4,1800,56,100800]
["1942.18(j)(5)(iv)","Utilization of small business & minority owned business","Written"]
[null,"RHS",null,70,1,70,0.5,35,56,1960]
["1942.18(k)(5); 3570.75","Procurement when other than bid or negotiation is used","Written"]
[null,"RHS",null,50,1,50,1,50,56,2800]
["1942.18(l); 3570.76","Unconventional contracting methods","Written"]
[null,"RHS",null,50,1,50,5,250,56,14000]
["1942.2(a)(1)(iii); 3570.65(a)(1)","State clearinghouse review","Written"]
[null,"RHS",null,370,1,370,1,370,56,20720]
["1942.17(q)(1)(ii)","Approval of Audit","Written"]
[null,"RHS",null,245,1,245,0.5,122.5,56,6860]
["1942.17(q)(2)(ii)(A); 3570.83","Governing body members and terms of office","Written"]
[null,"RHS",null,245,1,245,0.5,122.5,56,6860]
["1942.30(a) ","Documentation of Legal Powers","Written"]
[null,"RHS",null,20,1,20,0.5,10,83,830]
[null,"RHS",null,20,1,20,0.5,10,83,830]
["1942.30(a) ","Certification of Compliance with Federal, State, and Local Requirements","Written"]
[null,"RHS",null,20,1,20,1,20,83,1660]
["1942.30(a) ","Documentation of Serving Persistent Poverty County(ies) or High Poverty Areas","Written"]
[null,"RHS",null,20,1,20,1,20,83,1660]
["1942.30(a) ","Documentation (\"Letter of Intent\") from a Financial Institution that an Irrevocable Letter of Credit or similar Performance Guarantee will be issued if re-lender is approved for funding","Written"]
[null,"RHS",null,20,1,20,5,100,83,8300]
["1942.30(a) ","Documentation Regulated and Supervised by a Federal or State Banking Regulatory Agency, Subject to Credit Examination, Not on a Watch List, and No Regulatory Actions Outstanding","Written"]
[null,"RHS",null,9,1,9,2,18,83,1494]
["1942.30(a) ","Documentation of strong Financial Strength and Performance rating","Written"]
[null,"RHS",null,4,1,4,5,20,83,1660]
["1942.30(a) ","Documentation of being a financially sound institution for Agency assessment","Written"]
[null,"RHS",null,7,1,7,64,448,83,37184]
["1942.30(a) ","Documentation of Legal, Non-governmental Status (except for Tribal governments)","Written"]
[null,"RHS",null,20,1,20,0.5,10,83,830]
["1942.30(a) ","Documentation of Membership in a National Organization that provides training, technical assistance and credit evaluation or certified by a Government agency as having a primary mission of promoting development in low-income target markets and performs training and technical assistance as part of that mission.","Written"]
[null,"RHS",null,20,1,20,2,40,83,3320]
["1942.30(a) ","Certification to loan a majority of funds to applicants whose projects are located in or serve Persistent Poverty County(ies) or High Poverty Area(s)","Written"]
[null,"RHS",null,20,1,20,0.17,3.4000000000000004,83,282.20000000000005]
["1942.30(a) ","Multi-tier Action Environmental Compliance Agreement","Writtn"]
[null,"RHS",null,20,1,20,0.08,1.6,83,132.8]
["1942.30(a) ","Documentation of Assitance Provided to RD Employees","Written"]
[null,"RHS",null,20,1,20,0.17,3.4000000000000004,83,282.20000000000005]
["1942.30(a) ","Documentation of each evaluation factor","Written"]
[null,"RHS",null,20,1,20,2,40,83,3320]
["1942.30(e )(3)","Irrevocable Letter of Credit","Written"]
[null,"RHS",null,50,1,50,1,50,83,4150]
["1942.30(b) ","Loan Origination and Servicing - applicant eligibility","Written"]
[null,"RHS",null,50,1,50,1.5,75,83,6225]
["Subtotal",{"$nulls":4},22945,null,31101.600000000002,null,1766985.9]
[]
["RECORDKEEPING REQUIREMENTS"]
[]
["1942.17(q)(1)(iv)","Borrower shall maintain accounting records for 3 years","Written",2769,1,2769,0.25,692.25,83,57456.75]
[null,"Quarterly Financial Statements","Written",10,4,40,2,80,83,6640]
[null,"Quarterly Report of Re-rent Loans","Written",10,4,40,1,40,83,3320]
[null,"Annual Audits","Written",10,1,10,5,50,83,4150]
[null,"Financial Strength and Performance Rating","Written",10,1,10,5,50,83,4150]
[null,"Certification of 7CFR 3575.42 & 3575.43","Written",50,1,50,0.25,12.5,83,1037.5]
[null,"Civil Rights Data","Written",10,1,10,1,10,83,830]
[null,"Documentation of providing funds to Persistent Poverty County(ies) and High Poverty Area(s)","Written",10,1,10,1,10,83,830]
["Subtotal",{"$nulls":4},2939,null,944.75,null,78414.25]
["TOTAL",{"$nulls":4},44990,null,48318.8,null,2857510.4499999997]
["Grand Total",{"$nulls":4},44990,null,48318.8,null,2857510.4499999997]
[]
[]
["REPORTING REQUIREMENTS - FORMS APPROVED UNDER OTHER OMB NUMBERS"]
["1942.2(c)(2)","Application for Federal Assistance (For Construction)","SF-424 (4040-0004)"]
[null,"RHS",null,1205]
[null,"Budget Information - Non Construction Programs","SF-424A (4040-0006)"]
[null,"RHS",null,20]
[null,"RHS",null,20]
[null,"Assurances - Non Construction Programs","SF-424B (4040-0007)"]
[null,"RHS",null,20]
[null,"RHS",null,20]
[null,"Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities","SF-LLL (4040-0013)"]
[null,"RHS",null,20]
[null,"RHS",null,20]
[null,"ACH Vendor/Miscellaneous Payment Enrollment Form","SF-3881 (1510-0056)"]
[null,"RHS",null,10]
[null,"RHS",null,20]
[null,"Environmental Policies and Procedures","Written (0575-0197)"]
[null,"RHS",null,20]
[null,"RHS",null,1185]

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